Ahamed J Jiffry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A043501 Issued in CA

Practice address

399 East Highland Avenue
Suite 312
San Bernardino, CA 92404

Phone

(909) 886-8227

Fax

(909) 883-3358

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jiffry Medical Corporation

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1265609119
  Medicare reassignment NPD Authorized official
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• Mission Home Health of Ontario LLC

  • Home Health Agency
  • Ontario, CA
  • NPI 1528450475
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1295848679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 EAST HIGHLAND AVENUE",
            "address_2": "SUITE 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-886-8227",
            "fax_number": "909-883-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 EAST HIGHLAND AVENUE",
            "address_2": "SUITE 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-886-8227",
            "fax_number": "909-883-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIFFRY",
        "first_name": "AHAMED",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A043501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ346365Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Wade Jesinghaus, B.A.
• Kelly Alyssa Jeu, MD
• Natalie Jews
• Jinfeng Jiang, MD
• Jiffry Medical Corporation
• Maritza Jim
• Alison Jimenez
• Anthony Jimenez
• Ashley Jimenez
• Christopher Jimenez

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.